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Online Volunteer Registration Form

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Become an RSVP Volunteer with this Form. You will still need to sign and mail in the Volunteer Registration "Signature" Form - as required by law.

Please fill out this form to become an RSVP Volunteer. Please do your best to fill out the form completely. You may use the "Comments" section, for additional information and to clarify any of your responses.

Personal
(Required)
(Required)
Street, City, State, ZIP Code
(Required)
(Required)
(Required)
(Required)
Please enter your birth date in MM/DD/YYYY format
//
(Required)
Female  Male
(Required)
Who would you like us to notify in case of an emergency? Please include their name, relationship, address and phone number.
Demographics (optional)
(optional)
White
Black
Hispanic
Asian/Pacific Islander
American Indian/Alaskan Native
Married  Widowed  Single  Divorced
Military Service (optional)
Yes  No
Transportation
(Required)
Do you wish to work within walking distance?
Yes  Not Required
(Required)
Will you drive to and from your assignment?
Yes  No  Maybe
(Required)
Do you need to be reimbursed for mileage?
Yes  No
(Required)
State and Drivers License Number. (RSVP Accident and Liability Insurance requires a valid drivers license and liability insurance to be in effect)
(Required)
What company provides your Auto Insurance coverage?
Volunteering
(Required)
What is/was your primary occupation?
List any foreign languages you may speak.
List any conditions (physical or other) which may limit your assignment
Have you registered with RSVP before? When?
Who (if anyone) referred you to RSVP?
Are you currently volunteering anywhere? What is you job and title?
(Required)
Select any types of volunteer duties in which you are interested.
Services to Youth
School Volunteer
Drug/Alcohol Abuse
Food Distribution
Crime Prevention
Literacy/Libraries
Office Work
Driving
Senior Programs
Arts and Crafts
Hospice
Environment, Parks
Support Groups
Committees
Homeland Defense
One Time Projects
Handyman Project
Business Development
Mental Health Programs
Computers/ Data Entry
Animal Care/Animal Shelters
Nursing Homes/Assisted Living Facilities
Community Information/Betterment
Hospitals/Health Delivery
Aid to Needy, Disaster Relief
Museums, Art, Music, Theater
Services to the Disabled
Advisory Councils/Board of Directors
Describe any skills, training, talents or hobbies you have you feel would be helpful in your volunteer work. Include areas of expertise or special interests.
What other volunteer activities you have been involved in?
Comments
Have anything else that we should know about your, or need to clarify the above information? Let us know here.
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